Doug Beck PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE 004901 Issued in WA

Legal business name

DOUG BECK PLLC

Practice address

1617 183Rd St SE Ste 6
Mill Creek, WA 98012-6812

Phone

(425) 368-0600

Fax

(425) 368-0690

NPI assigned

Sep 27, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. George Douglas Beck, DDS

Title

Manager

Phone

(425) 368-0611

Specialties & licenses 1

Addresses

Other names 1

• Wildwood Dental Group Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1380240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380240000000",
    "number": "1255768834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1617 183RD ST SE STE 6",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980126812",
            "telephone_number": "425-368-0600",
            "fax_number": "425-368-0690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 183RD ST SE STE 6",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980126812",
            "telephone_number": "425-368-0600",
            "fax_number": "425-368-0690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUG BECK PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-27",
        "last_updated": "2013-09-27",
        "status": "A",
        "authorized_official_last_name": "BECK",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "425-368-0611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE 004901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wildwood Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lisa Ann Depietto
• Dion Richard Di Blasi, OD
• Diana Diamond, LMT
• Jennifer Tumamao Domingo, RN
• Mayara Fernanda Dos Santos, PT
• Mary Alice Duhme, PT
• Annalise D Dusell, PT, DPT
• Eastside Integrative Medicine, PLLC
• Kiana Eaton
• Belinda Eddy, D.C.

• General Practice Dentistry in Mill Creek, WA
• Providers in Mill Creek, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.